3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

On 2/4/2025 during renewal inspection Certification Representative noticed that the telephone numbers to the local hospital, police department, fire department, ambulance and poison control center were not posted.

Corrected Corrected by Feb 25, 2025

Category: physical safety. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 2/4/2025 during renewal inspection Certification Representative noticed that there was no handwashing sign posted over the sinks.

Corrected Corrected by Feb 25, 2025

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

Corrected Corrected by Jun 17, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The one-hour health and safety updates in the files for Staff Person #4, 5, 8, 12, 13 and 14 were conducted after the prescribed timeframe of 12/30/22.

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The most recent Pediatric CPR/First Aid certification in the file for Staff Person #9 was conducted after the previous certification had expired.

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The first annual fire safety training in the files for Staff Person #1 and #4 were conducted more than one year after the staff persons' start date. (See LIS Code Sheet). The more recent annual fire safety trainings in the files for Staff Person #8 through #14 exceeded 12 months between trainings.

Corrected Corrected by Jun 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #6 will have until 6/22/23 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Training).

Corrected Corrected by Jun 17, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The Pediatric CPR/FA and Health and Safety training in the file for Staff Person #2 were conducted more than 90 days after start date. The Pediatric CPR/FA training in the file for Staff Person #14 was conducted more than 90 days after start date. The Health and Safety trainings in the files for Staff Person #10, 11 and 13 were conducted more than 90 days after start date. (See LIS Code Sheet).

Corrected Corrected by Jun 7, 2023

Category: health medication. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The Mandated Reporter Training in the file for Staff Person #14 was conducted more than 90 days after start date. (See LIS Code Sheet).

Corrected Corrected by Jun 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #8 may not work at the facility.

The NSOR request date and certification in the file for Staff Person #1 and Staff Person #12 were after the start date. The State Police Clearance in the file for Staff Person #2 was after the start date. The file for Staff Person #8 did not include an FBI Clearance conducted within the past 60 months. The State Police and Child Abuse Clearances in the file for Staff Person #10 were conducted after start date. The four required clearances in the file for Staff Person #11 were conducted after the start date. (See LIS Code Sheet).

Corrected Corrected by Jun 7, 2023

Category: background checks. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form in the file for Child #4 did not include health insurance coverage and policy number.

Corrected Corrected by Jun 17, 2023

Category: health medication. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency Contact forms were not present in the gym for the two groups of children who were receiving care in that area.

Corrected Corrected by Jun 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The initial health assessments in the files for Staff Person #1, 5, 6, 7, 10 and 11 were after the start date. The file for Staff Person #3 did not include an initial health assessment. The most recent health assessments in the file for Staff Person #9 exceeded 24 months between health assessments. (See LIS Code Sheet).

Corrected Corrected by Jun 17, 2023

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The first parent update for the emergency contact forms in the files for Child #1 and #2 was more than 6 months after the child's first day of attendance at the facility. The fee agreements in the files for Child #1 through #8, who have been enrolled for more than 6 months, have not been updated by the parent.

Corrected Corrected by Jun 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff Person #2 contained only one letter of reference.

Corrected Corrected by Jun 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Instructions for contacting the appropriate regional office and accessing the regulations electronically was not posted at the facility.

Corrected Corrected by Jun 7, 2023

Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff person #5 did complete the 6 hour Health & Safety training on 2/6/2019. However, that did not meet the requirement on that date. As of 7/1/2018, the 10 hour Getting Started training is required. On 6/6/2022, staff person was observed working with children but was being supervised by another fully qualified staff, AGS.

Corrected Corrected by Jun 20, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff person #2 last did Mandated Reporter training over 60 months ago.

Corrected Corrected by May 31, 2022

Category: background checks. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff persons # 1, 2, & 4 have physicals that are over 24 months old. Staff person #5 does not have a physical.

Corrected Corrected by May 31, 2022

Category: ratio. Marked corrected in the state record.